Eye Diseases & Treatments
MyopiaMyopia is a condition of farsightedness caused by some structural defects in the eye. One of the alternatives to myopia treatment is the use of glasses and contact lenses. However, these are not permanent solutions.
The permanent solution of myopia is laser refractive surgery. Laser-specific intraocular lens surgeries are performed on the eyes of patients who are not suitable for myopia surgery. Today, it is the most commonly used method in the treatment of Elastic or PRK refractive errors, myopia, hyperopia, and astigmatism, depending on eye structure. The Rubber method is mostly used in the treatment of myopia. There are many types of lasers used in the treatment of eye diseases, and in this case, the Excimer laser is used. The Lasik method is the removal of a thin layer on the upper surface of the cornea as a cover and the correction of eye numbers by applying an "excimer laser" to the corneal surface.
Excimer laser myopia surgery is a laser with a wavelength of 192 nm and it shows its effect by thinning certain areas of the cornea with organic reactions during application. There are different application methods depending on the condition of the patient and the defect in the eye.
Applications are made automatically under computer control. LASIK Technique can be applied to up to 1-10 diopters of myopia. The success rate is 98%. After the age of 18, it can be applied to any eye with a corneal thickness of over 500 microns and a smooth cornea.
Laser therapy is an FDA-approved, safe technology. There is no risk of blindness. If your eye structure is suitable, laser treatment can be applied a second time. Cataract surgery can be performed after laser treatment. Laser surgery is for the eyes with myopia up to 10 diopters, hyperopia, and astigmatism up to 7 diopters, and whose examination results are suitable for laser.
Laser myopia treatment is applied to the cornea and no damage occurs to the retina layer. It is not a painful and bleeding treatment. Since anesthesia is applied with drops during laser treatment, therefore there is no pain. Eye drops should be used for a while after laser treatment. You can return to your normal life the next day. There is no risk if it is done by an experienced physician.
PresbyopiaIt is the difficulty in seeing the nearby objects that occur with age. In young people, the lens of the eye is elastic and adapts easily, allowing for a clear vision. With age, this elasticity decreases, and near vision becomes difficult. This condition begins at the age of 35-40 and progresses until the age of 60. Glasses or contact lenses can be applied to suitable patients. There is also the possibility of refractive surgery for presbyopia. Especially in hyperopia and astigmatism, when there is a high difference between the two eyes, the higher eye may have a permanently low vision level because one of the eyes tolerates the diseased eye for a long time and the visual impairment is noticed late. This is called amblyopia or lazy eye.
Since the treatment becomes more difficult, especially after the age of 7-8, children should have a refraction examination at the latest 2 years old for early diagnosis. Despite various subsequent treatment methods such as neurovision, the most effective treatment is still an early diagnosis and early treatment.
Myopia Intraocular Lens (PHAKIC LENS):Application of a high-tech intraocular lens to eyes whose structure cannot be treated with laser. These lenses are produced to be placed between the iris, which is the colored part of the eye, and the natural lens. When placed, they work in conjunction with the eye's normal focusing system to provide good vision.
CataractA cataract is the loss of transparency of the lens in our eyes. The most important reason is aging. In addition, cataracts may develop due to inflammation of the eye (uveitis), trauma, and cortisone use. If the cataract causes a decrease in vision that affects the social and work-life of the patient, surgery is required.
Cataract surgery is extremely comfortable, can be performed under local anesthesia and takes about 15 minutes. With the phacoemulsification method we use, a handheld ultrasonic probe is used to break up and emulsify the lens into a liquid using the energy of ultrasound waves. The resulting 'emulsion' is sucked away.
After the procedure, the patient returns to his normal life within three days. However, there is a threeweek follow-up period after the procedure. After cataract surgery, a new lens should be placed in the eye so that the patient can see. There are different alternatives in this regard. A clear vision can be obtained by placing a single focal lens on the patient. In this case, the patient will need reading glasses to see up close.
Another alternative is multifocal intraocular lenses. These lenses provide sufficient vision at far and near distances, giving the patient a life without glasses. Multifocal intraocular lens implantation should be performed in both eyes.
Eye Pressure (glaucoma)When a person's eye pressure is high, glaucoma is suspected and some tests are requested. The purpose of these exams is to find out if the eye pressure is causing any damage to the eye. If there is no damage, the diagnosis is Ocular Hypertension. In this case, it is necessary to start an appropriate treatment to lower the eye pressure. Glaucoma is diagnosed in the case of disease-specific damage to the eye. This disease usually begins to appear in people in their forties. 2 out of every 100 people over the age of 40 have this disease. If this disease is not diagnosed and treated, serious vision loss begins to occur within
10 years. The most important feature of PRIMARY OPEN-ANGLE GLAUCOMA, more commonly known as EYE PRESSURE, is that it insidiously damages the eye without causing any complaints.
Apart from high eye pressure and age, the most important risk factor for the disease is genetic predisposition. Those who have eye pressure disease in their first-degree relatives are at 10-15 times more risk. Apart from this, myopia, thin cornea, systemic vascular diseases, low blood pressure, and migraine can be counted among the important risk factors.
Corneal TransplantThe cornea is a transparent tissue located on the outermost part of the eye. One of the basic conditions for good visual acuity is a healthy cornea. Infections, injuries, congenital or degenerative diseases, and traumatic intraocular surgical procedures impair corneal transparency and adversely affect vision. In these patients, the corneas taken from the eye banks are replaced with diseased tissue, this intervention is called corneal transplantation.
Far Sight Problem/ Hyperopia / FarsightednessThe vast majority of people between the ages of 40-45 begin to have farsightedness problems. This is a part of the aging process of the eye and lens. For our eyes to focus close, a muscle in the eye must contract and the elastic lens of the eye must thicken, allowing us to see the near field clearly. Like all organs in our body, the lens of the eye loses its elasticity due to age, and therefore we begin to fail to see well. At first, measures such as removing the object we are looking at and increasing the illumination while reading work, but after a while, it becomes almost impossible to see up close.
The simplest solution to eliminate this situation is to use reading glasses. Timing is the most important thing when recommending glasses to a patient, and each patient should be evaluated individually according to their needs. Shortly after the glasses are put on, the patient will never be able to see as close as he could with the naked eye again. Reading glasses adversely affect the quality of life of the middleaged patient group, especially with an active lifestyle.
The second non-invasive solution other than glasses is contact lenses. Very successful results can be obtained with multifocal contact lenses with different designs, and the patient can live a life independent of glasses. The most important point here is to comply with the contact lens usage rules.
Another method of solving farsightedness problems is Excimer laser procedures. Although the method called Supracore gives promising results, what our patients should know is that there is no FDA-approved laser technique for correcting farsightedness yet.
The latest innovation in solving the problem of farsightedness is multifocal intraocular lenses. The intraocular lens industry has created a new application area for us by introducing 3-focal lenses. Patients who already have cataracts and need surgery can use glasses for near vision with a single focus lens, or they can see far-mid-far and near without glasses with these new technology lenses.
Yellow Spot Disease (macular Degeneration)The region known as the yellow spot is the macular region of the retina, which gives us the sharpest vision. The disease called yellow spot disease is a degenerative clinical picture that affects the tissue of this region due to several risk factors. The most important risk factor is age. It is common over the age of 60. Smoking, family history, obesity and hypertension are other important risk factors. The first symptom that patients notice is that they see the objects and lines they look at as curved lines.
There are 2 clinical types, dry and wet. The dry type progresses slowly, and the progression can be slowed or stopped with treatment. The wet type causes rapid vision loss, so immediate intervention is required.
Swelling, Itching, Watering
There is swelling in the lower or upper eyelid with painful local redness. It is a microbial infection of the sebaceous glands in the eyelid structure. It often recurs if ignored and not treated properly. In some cases of hordeolum that are not treated properly, the pain and redness stop, but a cyst develops at the site of the infection. In this case, the cyst will need to be surgically removed. The important cause of itching and rubbing in the eye is allergic eye diseases.
Although seasonal allergies are not a prerequisite, it is usually seen in the spring with sneezing and runny nose. Redness, watering and itching are important findings. Sometimes it should be controlled only with eye drops and sometimes with systemic antiallergic drugs.
Creams and cosmetics that come into contact with the eyes and around the eyes can also cause an allergic reaction. In this case, the important thing is to find the cause of the allergy and eliminate it.